Le, Thien M
Le, Thien M is an sole proprietor health care provider with primary practice located at 5430 Jimmy Carter Blvd , Norcross GA 30093-1517. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Le, Thien M can be contacted via phone (770) 441-7900.Contact Information
Primary practice address
5430 Jimmy Carter Blvd
Norcross GA 30093-1517
Phone: (770) 441-7900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN13031 | Georgia |
Profile Details
| NPI number | 1194858407 |
|---|---|
| LBN Legal business name | Le, Thien M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194858407 | NPPES |
| Georgia | MEDICAID | 232256189B |
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